| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.00 | $19.00 | $19.00 | |
Aetna
| Professional | $16.14 | $19.00 | $25.20 | |
Ambetter
| Professional | $17.43 | $23.55 | $23.87 | |
Anthem BCBS
| Professional | $17.60 | $21.43 | $29.04 | |
CareSource
| Facility | $16.71 | $16.71 | $23.47 | |
CareSource
| Professional | $16.71 | $24.64 | $29.34 | |
Cigna
| Professional | $19.57 | $24.68 | $47.04 | |
United
| Professional | $29.58 | $36.40 | $60.78 |